1. Merton Dementia Hub Presentation to ADASS Spring Seminar 16-4-15 Simon Williams Director of Community and Housing, Merton

2. Where we were (2012) One specialist day centre with 40 on roll Services concentrated in one or two wards Low rates of diagnosis (36%) compared to the best in the country ( LB Islington 72%) Little support on offer to anyone after a diagnosis until they met “substantial” criteria Typical story:” why did we have to wait so long to find out about what could help?”

3. This is what it looked like

4. What we did Listened to existing day centre users and carers Looked at good practice (Stirling University) Went back to market with new requirements based on outcomes, quick and collaborative response to changing needs, access without prior social care assessment Pilot for 3 years to see what would happen Awarded to Alzheimer's Society Won £350k from dementia friendly environment programme Not all easy: resistance to change and concerns about open access

5. What’s happened? Now 568 people being supported Range of support (next slide) Memory clinics now held in the Hub Diagnosis rates now at 60%, GPs can see the point Environment that people deserve, funders happy Anchors Dementia Action Alliance, raised awareness outside health and social care (25 councillors trained as dementia friends) Provider has database to identity gaps in provision

6. 16 Services (include) Dementia Support Work Dementia Adviser Singing for the Brain Carers Support Groups People with Dementia Support Groups Carers Information and Support Programme (CrISP) Life After Diagnosis Information Programme for people with dementia Cafés Connecting Communities Programme (DoH volunteering BAME initiative)

7. This is what it looks like now

10. Not just opening a building, but access to a road map and quick support